Braddy Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009391 Issued in GA

Legal business name

BRADDY CHIROPRACTIC, LLC

Practice address

102 Vincent Ave
Stockbridge, GA 30281-5049

Phone

(770) 506-4344

NPI assigned

Oct 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jamie Braddy, D.C.

Title

President/Owner

Phone

(770) 506-4344

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1134523889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VINCENT AVE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815049",
            "telephone_number": "770-506-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VINCENT AVE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815049",
            "telephone_number": "770-506-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADDY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "BRADDY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-506-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Torry Bowers, LPC
• Isaiah Antonio Boyd, PA-C
• Sheniqua Boyd, CRNA
• Aisha Wilson Boykin, PARAPROFESSIONAL
• Andrew T Brackin, CRNA
• Alicia Braddy, D.C.
• Ambur Laverne Bradford
• Noah Bradsher, FST
• Robert Brady
• Aniome Fatima Braimah, PHARM.D.

• All providers in Stockbridge, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.